Adds Payment Methodologies for Certified Nurse Anesthetists, Physician Assistants, Community Health Aides III and IV, and Community Health Practitioners.

Implements a one percent payment reduction for Medicaid services provided by non-state freestanding psychiatric facilities.

Revises the reimbursement methodology for nursing facilities to indicate that payment rates effective September 1, 2010, will be equal to rates in effect August 31, 2010, less one percent.

Decreases the dispensing fee formula by decreasing the fixed component from $7.50 to 7.43 and by decreasing the variable component from 2 percent to 1.98 percent.

Updates the mental health rehabilitation services fee schedule rate and implements a one percent reimbursement reduction.

Revises the reimbursement methodology for non-state operated intermediate care facilities for persons with mental retardation to indicate that payment rates effective September 1, 2010, will be equal to rates in effect August 31, 2011, less one percent.

Updates the vision services section of the fee schedule for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies in the state plan.

Updates the fee schedule for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies in the state plan.

Updates the fee schedule for Physician Services in the State Plan.

Updates the fee schedule for Physician Services.